Gerald Stinson Jr OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GERALD STINSON JR OD LLC

Practice address

210 Court SQ
Lexington, MS 39095-3628

Phone

(662) 834-2982

Fax

(662) 834-2981

NPI assigned

Mar 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerald William Stinson Jr., ODNPI 1427406123

Title

Owner Optometrist

Phone

(610) 573-7489

Specialties & licenses 1

Addresses

Other names 1

• Lexington Eye Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald W Stinson Jr., O.D.

  • Optometrist
  • Lexington, MS
  • NPI 1427406123

  MS, Optometrist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1346744976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953628",
            "telephone_number": "662-834-2982",
            "fax_number": "662-834-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953628",
            "telephone_number": "662-834-2982",
            "fax_number": "662-834-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD STINSON JR OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "610-573-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Eye Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Eye Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Lexington, MS
• Providers in Lexington, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.